A function-focused approach in primary care for older people with functional decline: Making the most of reablement and restorative care

Aust J Gen Pract. 2019 Jul;48(7):434-439. doi: 10.31128/AJGP-01-19-4808.

Abstract

Background: There is growing international interest in maximising the functional ability of older people.

Objective: The aim of this article is to discuss 'reablement' and 'restorative care' in the context of providing a function-focused approach in primary care to address the needs of older people with functional decline.

Discussion: Loss of functional ability can profoundly affect an older person and is often what prompts them to seek healthcare. The emergence of reablement and restorative care is a welcome development in policy. Reablement and restorative care are discussed in relation to current Australian Government-funded programs. These programs increase the availability of multidisciplinary services in community settings and support general practitioners (GPs) to take a comprehensive, 'function-focused' approach to the management of functional decline. GPs are important to identify and refer older people likely to benefit, and they play an essential part in effective program delivery.

MeSH terms

  • Activities of Daily Living / classification*
  • Aged
  • Aged, 80 and over
  • Australia
  • Humans
  • Needs Assessment
  • Primary Health Care / methods*
  • Rehabilitation / methods*
  • Rehabilitation / trends